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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STACI BLOOM
NPI 1609455856
Nurse Practitioner - Family in Robins Afb, GA

Active since April 05, 2021
655 7TH ST BLDG 700700-A, ROBINS AFB, GA 31098(478) 327-7850 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 23, 2026, Aug 19, 2024, Nov 30, 2021 and 1 more (4 updates tracked since 2021).

About Staci Bloom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACI BLOOM (NPI 1609455856) is an individual family provider in Robins Afb, Georgia, licensed in Florida (APRN11016359) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1609455856
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACI BLOOM
Location Address655 7TH ST BLDG 700700-ARobins Afb, GA 31098-2227
Mailing Address655 7th St Bldg 700700-aRobins Afb, GA 31098-2227 · (478) 327-7850
Phone(478) 327-7850
Sole ProprietorNo
Enumeration DateApril 5, 2021
Last NPPES UpdateJuly 23, 20264 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1609455856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11016359
Also ListedNurse Practitioner · Occupational HealthTaxonomy 363LX0106X · License APRN11016359 (FL)
655 7TH ST BLDG 700700-A, Robins Afb, GA 31098
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Other Names 1

Former Name (1)Staci Grothues

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYLVIA VALVERDE AU.D
Audiologist
655 7TH ST BLDG 700700-A
ROBINS AFB, GA 31098
Houston County (428) 222-0969
JEREMY SCOTT RODESKY
Military Health Care Provider (Independent Duty Medical Technicians)
655 7TH ST BLDG 700700-A
ROBINS AFB, GA 31098
Houston County (913) 702-6488
ROBERTO SPRINGER PA
Physician Assistant (Medical)
655 7TH ST BLDG 700700-A, 78 MDG/XXX
ROBINS AFB, GA 31098
Houston County (706) 372-6102
DR. RICHARD WAYNE WADDELL D.D.S
Dentist
655 7TH ST BLDG 700700-A, SGHC CREDENTIALS
WARNER ROBINS, GA 31098
Houston County (478) 327-8095
DR. CAROLYE VALERIE MASON D.M.D
Dentist (General Practice)
655 7TH ST BLDG 700700-A, 78 MDG/SGHC
ROBINS AFB, GA 31098
Houston County (478) 327-8056
MRS. GAYLA MOORER PEGUES PHARMACIST
Pharmacist
655 7TH ST BLDG 700700-A, 78 MDG/SGSAP
ROBINS AFB, GA 31098
Houston County (478) 327-8023
MRS. SERITHA CAROL GILBERT RPH
Pharmacist
655 7TH ST BLDG 700700-A, 78 MDG/SGHC-CREDENTIALS
ROBINS AFB, GA 31098
Houston County (478) 287-6112
MISS BILJANA DJORDJEVIC DRAKE LCSW
Social Worker (Clinical)
655 7TH ST BLDG 700700-A
ROBINS AFB, GA 31098
Houston County (478) 497-8040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Staci Bloom's NPI number?

The NPI number for Staci Bloom is 1609455856. It was assigned to this individual provider in the NPPES registry on April 5, 2021. The provider is also known as Staci Grothues.

Where is Staci Bloom located?

Staci Bloom practices at 655 7th St Bldg 700700-A, Robins Afb, GA 31098. The listed phone number is (478) 327-7850.

What is Staci Bloom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Staci Bloom was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.